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General NPI Number Information
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NPI Number | 1821545179
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Entity Type | Organization
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Legal Business Name | ANNE MAURO, PLLC
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Dates
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Enumeration Date | 09/03/2016
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Last Update Date | 09/03/2016
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Provider Practice Location Address
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Address Line | 24848 24TH PL S
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City | KENT
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State | WA
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Zip | 98032-4031
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Country | US
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Telephone | 206-588-6804
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Fax |
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Provider Business Mailing Address
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Address Line | 121 LAKESIDE AVE
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City | SEATTLE
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State | WA
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Zip | 98122-6599
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMFTA
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Name | ANNE MAURO
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Credential | MG60669377
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Telephone | 206-588-6094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MG60669377
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License Number State | WA
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